Stephen  F  Blackstock    MD
Contract Details
Blackstock Orthopaedic Surgery & Sports Clinic
Facility name
Provider ID
P000000146
NPI
1356373583
Tax ID
200737802
Effective Date
6/10/2008
Last Updated
6/9/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
300 Medical Center Drive Suite 100
Gadsden, AL 35903
United States
County
Etowah
Phone
2564922663 (Phone)
Billing Details
Address
300 Medical Center Drive
Suite 100
Gadsden, AL 35903
Billing Phone
2564922663
Specialty Type
Surgery, Orthopedic
Map
Address